Our Pulmonary Care Value Program^SM helps your members who are being treated for asthma or COPD through a holistic approach that pushes the boundaries of patient care while driving lower healthcare costs for payers.

Key Benefits

• Patients have access to one-on-one support from our team of extensively trained clinicians at the Pulmonary Therapeutic Resource Center^SM (TRC).
• Patients will fill inhaled products in 90-day supplies, which promote adherence: 85% of Express Scripts patients who fill 90-day prescriptions at retail or by home delivery are adherent**, compared with 66.9% who fill 30-day prescriptions at retail.
• High-risk patients prescribed a controller inhaler will be offered remote monitoring devices. If patients overuse their rescue inhalers or are not adherent to their controller medications, our pulmonary TRC pharmacists will reach out with individualized support.
• Pulmonary patients will have access to our new patient engagement solution, Mango Health, which gamifies health-related behavior and rewards patients for making healthy decisions. This app-based platform is powered by Express Scripts’ predictive data analytics and specialized care capabilities.

Highlights

• Remote patient monitoring and the Mango Health solution engage your patients and help them establish healthy habits, such as medication tracking to promote adherence, providing a direct value for plan sponsors. Remote monitoring will be offered to the patients who need additional support, and all adults on maintenance pulmonary medications will be offered the Mango Health solution.
  
• Drug preference for inhaled medications will be managed through our National Preferred Formulary or applicable preferred step therapy programs.
  
• Our preferred quality pharmacy network includes pharmacies committed to higher quality care for patients who fill prescriptions for asthma or COPD.
• Filling prescriptions for 90-day supplies promotes adherence to long-acting inhaled products, closing gaps in care and mitigating unnecessary medical expenses.

¹American Academy of Allergy Asthma & Immunology
²2016 Express Scripts Drug Trend Report
³Express Scripts study of medical literature on the association between asthma medication adherence and medical costs
⁴Maryland Asthma Control Program and Healthcare Cost and Utilization Project (2010 estimate)

*Patients enrolled in the preferred quality pharmacy network can fill two 30-day courtesy fills at any network pharmacy, then must move to a 90-day supply AND use the Express Scripts pharmacy, Walgreens or another participating retail pharmacy. Plans with home delivery requirements already in place are not affected by this component and patients may remain at the current channel.
** Percent based on Express Scripts’ book of business in Smart90 programs; each client may have different results.

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